Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,629.00 / $10,674.00	Facility		$1,819.00	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.03 / $1,798.14 / $3,261.56	Professional		$1,530.03	$1,798.14	$3,261.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.79 / $1,882.08 / $3,981.34	Professional		$1,439.79	$1,882.08	$3,981.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,423.75 / $2,423.75 / $37,499.62	Facility		$2,423.75	$2,423.75	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,423.75 / $2,423.75 / $2,423.75	Professional		$2,423.75	$2,423.75	$2,423.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $1,910.77	Facility		$1,910.77	$1,910.77	$1,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,611.33 / $2,510.48 / $5,981.84	Professional		$1,611.33	$2,510.48	$5,981.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,912.52 / $4,342.32	Facility		$332.00	$1,912.52	$4,342.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.94 / $2,542.94 / $3,724.75	Professional		$1,855.94	$2,542.94	$3,724.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,593.77 / $1,593.77 / $1,593.77	Facility		$1,593.77	$1,593.77	$1,593.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.69 / $2,034.41 / $3,588.75	Professional		$1,385.69	$2,034.41	$3,588.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,910.77	Facility		$555.00	$597.00	$1,910.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,726.89 / $2,492.71 / $5,973.07	Professional		$1,726.89	$2,492.71	$5,973.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.01 / $2,148.90 / $5,297.03	Professional		$1,504.01	$2,148.90	$5,297.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,034.41 / $2,034.41 / $6,863.08	Facility		$2,034.41	$2,034.41	$6,863.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,385.69 / $2,221.08 / $4,300.41	Professional		$1,385.69	$2,221.08	$4,300.41